Take Your Meds… Please
What is the medication "Atorvastatin" used for?
Cholesterol
What is the "Cheyne Stokes"?
AKA "the death rattle"
Noisy or rattling breathing caused by secretions in the throat can occur near the end of life.
What Latin acronym stands for "twice a day"?
BID
BID stands for "bis in die," a Latin phrase meaning "twice a day," indicating that a medication should be taken two times within a 24-hour period.
Inform the family member that he/she is NOT allowed to feed anyone outside of their family.
What is the normal heart rate range?
60-100 beats per minute.
Which medication is used for pain and fever, but not inflammation?
Acetaminophen.
Ibuprofen is used for inflammation and pain, but not fever.
What is the process when a resident passes away in our building while on hospice?
-Call to Nurse and Hospice
-Hospice to declare time of death for the resident and inform nurse on call of time of death. WE DO NOT PUT THE TIME WE DISCOVERED THE RESIDENT DECEASED.
-Hospice to notify the resident's family member, please show presence during this call.
-Perform post mortem care on resident.
-Complete Funeral Home/Coroner Paper completely.
This acronym is used for "as needed".
PRN.
PRN stands for "pro re nata," a Latin phrase meaning "as needed" in medical care.
Are QMAPs allowed to administer PRN medications
No. However, QMAPs can request a one-time order from an on-call provider
What temperature is considered a fever?
100.0 or above.
Which medication is used for pain and fever, but not inflammation?
Acetaminophen
What is Morphine used for in end-of-life care?
Pain, Shortness of Breath and Air Hunger.
What does the acronym "QHS" stand for?
QHS stands for "quaque hora somni," meaning every night at bedtime.
Are resident has a fall with and hit their head. What do you do?
Call the nurse on call, call 9-1-1, and call their medical POA.
How do you measure respirations on a resident?
What is Memantine/Namenda used for?
Memantine is used to treat moderate to severe dementia in people with Alzheimer’s disease (AD)
What is Lorazepam used for in end-of-life care?
Terminal agitation and anxiety/restlessness. It can also in some cases be used for itching and nausea.
What does the acronym "QOD" stand for?
QOD stands for "every other day," indicating a medication or treatment schedule where doses are taken on alternating days.
QD stands for every day.
Q=every
Resident has pain after a fall. What should you do?
Do not move the resident! Ask the resident where it hurts. Ask the resident to describe the pain (if possible). Call the nurse on call. Call 9-1-1. Call the POA.
Is this blood pressure normal?
BP 174/47
NO!
Desired:
Systolic Range: 90-130 mmhg
Diastolic Range: 50-90 mmhg
Midodrine
Name one common change you may observe as a person approaches the end of life.
Decreased appetite, increased sleeping, changes in breathing, decreased responsiveness, or changes in circulation?.
In medicine, “AC” most commonly means ante cibum (“before meals”)
What documents do you need when sending someone out? Where can you find them?
Face sheet, MOST form, and med list.
These documents can be found in August Health.
*MOST form is also in the red binder located at the front desk.
What should you do if the resident's oxygen saturation is lower than 90%?
-Cold hands?
-How does the resident look?
-Check equipment, placement, tubing
-Call Nurse
-Call Doctor/Hospice/911
Normal desired range is 95%-100%